1.Clinical Research of Acupuncture Therapy for Diabetes Mellitus
Noriho Kinoshita ; Haruto Kinoshita
Journal of the Japan Society of Acupuncture and Moxibustion 1981;31(1):60-66
Until this time a great deal of research of acupuncture therapy for diabetes mellitus has appeared, however very few reports have examined the relationship with the blood sugar value in most of the cases. Using 111 cases of diabetes mellitus treated over the past 5 years as subjects we performed a clinical study of acupuncture and moxibustion.
Therapy was divided into general treatment, normally administered generally, and classified treatment administered according to specific symptoms.
From among the 111 cases, eliminating 36 cases in which therapy was discontinued within 2 months of the start and 21 cases in which blood sugar was untested, there were 54 cases in which the blood sugar count was distinct.
Results were evaluated as one of 4 ranks, Excellent, Good, Stable, Ineffective, according to the improvement in the blood sugar count.
Results were excellent in 19 cases, good in 7 cases, stable in 18 cases and ineffective in 10 cases. The blood sugar count improved in about half of the cases.
Examining the relationship between the medical history and results, and the period of treatment and results, it was found that treatment was ineffective mostly in cases in which the history was long or in cases in which treatment was discontinued within a year.
A tendency was noted for good therapeutic results to be in direct proportion to the shortness of the disease history. Considering relationship with individual symptoms, there were no ineffective cases which showed accompanying symptoms of dryness of the mouth or fatigue. No remarkable relationship between the highness or lowness of the blood sugar count and therapeutic results appeared. Excellent results were observed even in cases in which the blood sugar count was high enough to warrant the use of insulin or oral anti-diabetic drug.
Thus it can be said that acupuncture-moxibustion therapy is a treatment method of applicable value for the treatment of diabetes mellitus.
2.Clinical research using specific techniques for knee arthralgia.
Noriho KINOSHITA ; Haruto KINOSHITA
Journal of the Japan Society of Acupuncture and Moxibustion 1986;36(2):113-118
Using 83 assumed arthrosis deformans of the knee patients as subjects we conducted a clinical study of acupuncture therapy adding cross-insertion and twisting techniques and examined the therapeutic results in a total of 72 cases, omitting cases in which treatment was discontinued.
Treatment was divided into general treatment which was administered in all cases and classified treatment according to the specific area of pain. Results were evaluated by 4 ranks-cure, improvement, no change and aggravation of symptoms, according to the rate of improvement in pain and test results. These results indicated either cure or improvement in 67 cases (93%), that is in a large majority of the cases an improvement of symptoms was obtained with acupuncture therapy. Looking at the number of treatments, results improved respectively with the greater number of treatments. Therapeutic results were about the same in all age groups. Treatment over an extended period is necessary in cases in which the painful area feels hot upon touch however it became clear that if treatment is continued good results are obtainable.
5.The Practical Use of Asada's Saikatsugekito from the Viewpoint of "Heibyo".
Kampo Medicine 1994;44(4):607-611
Asada's Saikatsugekito, which is a mixture of ginseng-and jujube-free, but gypsumadded Shosaikoto-Kakkonto mixture, is thought to be used for the Heibyo of Taiyobyo and Ritekisyoyosho according to its composition and the contents of the description in its source. On the other hand, in the treatment of Heibyo, Senhyogori may be the therapeutical principle for such a pathological condition according to that for Taiyobyo and Yomeibyo, but the present treatment is thought to be exceptionally beneficial due to the effect of Hyorisokai. The present case of cold syndrome, which initially was supposed to be Maotosho, was diagnosed, on the day after its first examination, as transferred to Ritekisyoyosho, i. e. Heibyo of Taiyosho and Ritekisyoyosho. The present treatment caused its symptomatic remission in a short period of time. This may be indicative of the significance of the present treatment for such a state of Heibyo of Taiyobyo and Ritekisyoyosho. From the viewpoint of Heibyo treatment, we should bear in mind that some exceptional use, such as in the present treatment, may be practical in consideration of the therapeutical principle.
6.The Applicability of Keishi-ninjin-to for the Common Cold Syndrome.
Kampo Medicine 1995;45(4):935-939
Keishininjin-to (Formula Ginseng and Cinnamomi) can be used to treat colds where internal digestive system symptoms such as diarrhea and abdominal pain accompany the symptoms of the exterior or superficies. This use of Keishininjin-to is probably based on the concept that there is external heat complicating the typical internal cold indicating use of Ninjin-to (Formula Ginseng), or it may be induced from the crude herbs comprising Keishininjin-to.
In Kampo medicine, the concept of complications is one of the pathophysiological theories governing treatment principles. The treatment principles regarding complications are: 1. Sengo (a system of priorities consisting of Senhyokori (treating exterior symptoms before interior), Senkyu kokan (acute before chronic) and Sengai konai (external before internal); 2. Goho (combining formulas according to stage, i. e., Dobyoinai (in the same stage) or Ibyoikan (between stage); 3. Creation of a special formula. Keishininjin-to follows the third principle; it is a special formula created by slightly increasing the Glycyrrhizae Radix in Ninjin-to and adding Cinnamomi Cortex. It is intended to treat both exterior and interior symptoms in complications of Taiyo-keishi-to-sho and Taiin-ninjin-to-sho. Of the four patients involved in this study, cases one, two and three were treated according to this principle. Case four was treated with Keikyososooshinbu-to, as the symptoms were thought to indicate a combination of Taiyo-keishi-kyoshakuyaku-to-sho and Shoin-maosaishinbushi-to-sho. In all cases, improvement in the patients' condition was seen shortly after commencement of the Kampo formula administration.
7.Actual proof of efficacy of acupuncture-moxibustion and education of acupuncture.
Journal of the Japan Society of Acupuncture and Moxibustion 1986;36(4):243-249
Acupuncture and moxibustion were introduced to Japan from China and handed down for 1400 years by acupuncturists. On looking over back the last 100 years, these therapies, while undergoing constant improvemnet by practioners, have both found acceptance by the general population and contributed to public health and hygiene.
Among the problems of acupuncture and acupuncturists, the following points are urgent now: a) Actual proof of the clinical effect. b) Discrimination of indication. c) Reformation of education. d) Revision of the health insurance system.
Actual proof of effects of acupuncture is significant for the existence of the techniques. The discrimination of indication is important issue for acupuncturists so as not to employ the techniques for wrong cases. This must be quickly done as the chief subject of our society. The reformation of the education system for acupuncturists means adequate training of therapists and sending out qualified technicians who can answer the requests of patients. The acupuncturists society with cooperation of JSA must take the initiative in finding a quick solution to this problem. The revision of the medical insurance system means the establishment of a new system under which people can easily receive acupuncture treatment. This is, however, not a problom for the JSA but for the acupuncturists society to solve. Therefore, the insurance problem is not to be discussed in this symposium.
10.Coronary artery spasm induced by cardiac surgery.
Japanese Journal of Cardiovascular Surgery 1990;19(5):1038-1040